Upload
others
View
27
Download
0
Embed Size (px)
Citation preview
Intermountain Laboratory Services MI1100-A1 (08/18)Salt Lake City, Utah Page 1 of 2
Microbiology Collection Media and Specimen TransportSpecimen Type
(by source or test)Preferred Collection Media
& Media StorageStorage
after CollectionComments
BD ESwab: Nylon flocked swab (regular, minitip, flexible minitip) with 1 mL modified liquid Amies
Room temperature Sustains viability of aerobic, anaerobic, and fastidious bacteria for up to 48 hrs. Anaerobic cultures must also have an aerobic culture ordered.** Not for rapid antigen screens such as Rapid Strep.
ANAEROBIC, AEROBIC & ROUTINE CULTURES
Blue top BBL CultureSwab Plus w/ Amies gel w/o charcoal
Room temperature Maintains organism for 24-48 hrs. Good for most bacteria.** Not for rapid antigen screens such as Rapid Strep.
BODY FLUIDS,WOUND ASPIRATES
Syringe specimen
Sterile container without preservative
Room temperature Transport to lab ASAP.Transport only after the needle has been removed.Transport with original Luer lock cap. (Contact laboratory to order extra caps.)
BD ESwab: Nylon flocked swab (regular, minitip, flexible minitip) with 1 mL modified liquid Amies
NASOPHARYNGEAL CULTURES
Green top BBL CultureSwab with liquid Stuart sponge
Room temperature For Bordetella pertussis, the preferred method is PCR.
RAPID RSV(Respiratory Syncytial Virus)
Nasal washing / nasopharyngeal aspirate
Flocked nasopharyngeal swab in M4/UTM (red lid w/ pink fluid)
Refrigerate
THROAT SWABS -RAPID STREP GROUP A WITH OR WITHOUT REFLEX TO CULTURE
Red top BBL CultureSwab with liquid Stuart sponge
Room temperature
Room temperature Submit 2 swabs (comes w/ 2): one for the rapid test, one for back-up culture if necessary.
THROAT SWABS - STREP CULTURE (NOT FOR RAPID STREP TEST)
BD ESwab: Nylon flocked swab (regular, minitip, flexible minitip) with 1 mL modified liquid Amies
Room temperature
PCR – N. gonorrhoeae, Chlamydia, herpes, or other viruses
M4/UTM viral transport (red lid w/ pink fluid)
Room temperature or refrigerate
Room temperature
Refrigeration is optional for PCR specimens.
DO NOT use for Mycoplasma / Ureaplasma cultures.
VIRAL CULTURES M4 or UTM viral transport
Refrigerate
Refrigerate Do not place CSF, body fluids or urine in M4/UTM. Use sterile container.
MYCOPLASMA/ UREAPLASMA CULTURES
M4 viral transport (blue lid with pink fluid)
RefrigerateSTERILE SPECIMENSputum & Tissue
Sterile containers
Anaerobic transport media
Room temperature
At lab within 4 hrs. if possible.Room temperature if received within 4 hrs.Refrigerate if over 4 hours.
Sputum and tissue specimens must be delivered to lab ASAP.
Printed on 10/23/2018 11:52 (MDT). Page 1 of 2
Intermountain Laboratory Services MI1100-A1 (08/18)Salt Lake City, Utah Page 2 of 2
Specimen Type (by source or test)
Preferred Collection Media & Media Storage
Storage after Collection
Comments
PRENATAL STREP SCREEN
BD ESwab: Nylon flocked swab (regular, minitip, flexible minitip) with 1 mL modified liquid Amies
Room temperature Note if patient has penicillin llergy.
STOOL CULTURES
Not performed on formed stool.
Cary Blair (transport media)
Clean, screw-capped container for unpreserved specimens.
Transport media, room temperature. Unpreserved over 2 hours, place in transport media.
Good for 24-48 hrs.Specimen must not be contaminated with urine or toilet water, or be from a diaper.Submit fresh (unpreserved) specimens to lab preferably within 2 hours of collection.Stool culture for enteric pathogens includes campylobacter, shigella, and salmonella testing unless otherwise indicated.Enterohemorrhagic E. coli (EHEC) testing should be performed on bloody stools and must be ordered by a clinician.
OVA & PARASITEGIARDIA ANTIGEN TESTING
Total Fix
Clean container
Room temperature
Refrigerate
If no history of travel, immune status or risk factors is/are indicated, Giardia Antigen will be performed.
FECAL WBC, C. DIFFICILE or ROTAVIRUS
Not performed on formed stool.
Clean screw- capped container
Refrigerate up to 72 hrs.
Submit fresh (unpreserved, room temperature) specimens to lab, preferably within 2 hours of collection.
URINE CULTURE Gray top BD Urine Vacutainer/ Urine Preservative Formula
Sterile screw -capped container
Room temperature, 2 days.
Refrigerate up to 72 hrs.
Gray top not suitable for urinalysis.
Must be filled to the fill line.
Sterile screw -capped container may be used for routine urinalysis.
GENITAL WET PREPS Minimal sterile salineor Red top BBL CultureSwab with liquid Stuart sponge
Room temperature <4 hrs.
For trichomonas or yeast, transport to lab ASAP.
FUNGAL CULTURES Fluid or tissue in sterile container (preferred over swab)
BD ESwab: Nylon flocked swab (regular, minitip, flexible minitip) with 1 mL modified liquid Amies
Room Temperature or Refrigerate
Blood and CSF specimens have special requirements; call laboratory for information.
ACID FAST BACILLUS (AFB) CULTURES
Fluid or tissue in sterile container (preferred over swab)
BD ESwab: Nylon flocked swab (regular, minitip, flexible minitip) with 1 mL modified liquid Amies
Room Temperature or Refrigerate
Blood and CSF specimens have special requirements; call laboratory for information.
If you have any questions about specimen collection, storage or transport, please call the laboratory.
Printed on 10/23/2018 11:52 (MDT). Page 2 of 2